Jeffrey Tucker a Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC15055 Issued in CA

Legal business name

JEFFREY TUCKER A CHIROPRACTIC CORP

Practice address

11620 Wilshire Blvd Ste 710
Los Angeles, CA 90025-1781

Phone

(310) 444-9393

Fax

(310) 473-6787

NPI assigned

Apr 5, 2012

Organization subpart

Yes

Parent organization

JEFFREY TUCKER A CHIROPRACTIC CORPAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey H Tucker, D.C.NPI 1942212162

Title

Owner

Phone

(310) 444-9393

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Total Health Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Jeffrey Tucker a Chiropractic Corp

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Tucker, D.C.

  • Chiropractor
  • Los Angeles, CA
  • NPI 1942212162
  Medicare reassignment NPD Authorized official
• Annie My Tran, D.C.

  • Chiropractor
  • Los Angeles, CA
  • NPI 1417158478
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1295091049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 WILSHIRE BLVD STE 710",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251781",
            "telephone_number": "310-444-9393",
            "fax_number": "310-473-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 WILSHIRE BLVD STE 710",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251781",
            "telephone_number": "310-444-9393",
            "fax_number": "310-473-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY TUCKER A CHIROPRACTIC CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFREY TUCKER A CHIROPRACTIC CORP",
        "enumeration_date": "2012-04-05",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-444-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295091049",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DC15055",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.